7/25/2019 Circular Gips ( Casting )
1/14
Circular Plastering
Techniques(Casting)
7/25/2019 Circular Gips ( Casting )
2/14
Principles of Casting
A good cast
Fits well
Does not cause constriction
Smooth inside
Light Weight
One whole fully laminated
7/25/2019 Circular Gips ( Casting )
3/14
Indications
Kelainan bawaan lahir (Congenital
Deformity) Fractures
Cidera pada jaringan lunak ( SoftTissue)
7/25/2019 Circular Gips ( Casting )
4/14
Tehnik Pemasangan Gips
Circuler Lengan Bawah
7/25/2019 Circular Gips ( Casting )
5/14
Balutan gips lengan bawah
(Long arm plaster)
Imobilisasi fraktur dengan cara
balutan gips mengikuti konturjaringan lunak
Imobilisasi daerah fraktur tercapaidengan mengunci sendi siku danpergelangan tangan
Menggunakan balutan gips (POPbandag)
7/25/2019 Circular Gips ( Casting )
6/14
Assess the Patient
What is the pathology or injury ?
Why is the cast being applied ? Is there an underlying condition ?
Look at the skin is there a wound orredness anywhere ?
Which bony areas will need extrapadding ?
Where are the blood vessels or nervesthat are close to the surface ?
Is swelling expected ?
Is the cast to be weight bearing ?
7/25/2019 Circular Gips ( Casting )
7/14
Care the Patient
Give reassurance, explanation and
request permission from the patientto proceed.
Maintain privacy while removing
relevant clothing Remove and store safely any
relevant rings or jewellery. Make the patient as comfortable as
possible in the circumstances
7/25/2019 Circular Gips ( Casting )
8/14
Tehnik
Reduksi fraktur
Pertahankan hasil reposisi sambilmemasang stockinette
Memasang balutan padding Memasang balutan gips yang sudah
direndam dalam air
7/25/2019 Circular Gips ( Casting )
9/14
Bahan yang diperlukan
Padding:
Stockinette velban bandage / sofban
Elastis bandage POP (Plaster of Paris/ Gips)
Sarung tangan latex (non sterile)
Scissors
Bucket + warm water
7/25/2019 Circular Gips ( Casting )
10/14
7/25/2019 Circular Gips ( Casting )
11/14
7/25/2019 Circular Gips ( Casting )
12/14
Tehnik membalut gips
Stockkinette dan padding terpasang
Gips direndam dalam air sampaigelembung udara keluar
Peras secukupnya. Jangan sampai
kering! Mulai membalut dengan jarak setengah
lebar gips.
Perhatikan daerah tonjolan tulang Ratakan dengan bag rata telapak tangan
Batas distal : palmar MCP crease
7/25/2019 Circular Gips ( Casting )
13/14
7/25/2019 Circular Gips ( Casting )
14/14